NCC232433_NOI 154699 Payment Verification_20230814

Action History (UTC-05:00)Eastern Time(US&Canada)
Submit by Anonymous User 8/10/2023 5:04:06 PM (NCG01 NOI Submission)
Approve by Brooklyn.Broussard 8/11/2023 7:06:21 AM (Review-NOI 154699 Quality Education Academy Classroom
Addition)
• The task was assigned to DEMLR NCG01 NOI Review Team.The due date is:August 15,2023 5:00
PM 8/10/2023 5:04:15 PM
• The task was assigned to Brooklyn.Broussard by round robin distribution 8/10/2023 5:04:15 PM
Submit by Tev.Holloman 8/14/2023 9:58:52 AM (Payment Verification for NCC232433)
0 Huyen Bravo
• The task was assigned to DEMLR NCG01 Payment Team.The due date is:September 22,2023 5:00
PM 8/11/2023 7:06:36 AM
• Tev.Holloman assigned the task to Tev.Holloman 8/14/2023 9:57:54 AM

4
NPayment Verification
NORTH CAROLINA
Environmental Quality
Project Name Quality Education Academy Classroom Addition
Is this project funded with ARPA(American Rescue Plan Act)grant funds?
No
Yes
CONFIRMED ARPA Project Number(if applicable)
Lot Numbers (If listed on the eNOl)
NC Reference No.* NCG01-2023-2433
Certificate of NCC232433
Coverage(COC)No.*
Invoice Date 8/11/2023
Initial Invoice No. NCC232433-2023
Initial Fee $ 100.00
Invoice Due Date 9/10/2023
Important: If you change the choice below to Payment NOT RECEIVED,the application will be rejected,and a COC will
not be issued. This is the ONLY way to reject an eNOI at this step.
Payment Received* Payment Received.
Payment NOT RECEIVED.
Payment Status PAID
Date Payment 8/14/2023
Received* (Or,if not received,date rejected for no payment)
Method of Payment* electronic
check
Other
ePayment 704879076
Transaction Number*
NOI Tracking No. 154699
Tracking ID referenced upon submittal
This is an Express No
Review Project Yes
Project Tracking ID NCC-FORSY-2023-Quality Education Academy Classroom Addition